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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vestim</journal-id><journal-title-group><journal-title xml:lang="ru">Известия Национальной  академии наук Беларуси. Серия медицинских наук</journal-title><trans-title-group xml:lang="en"><trans-title>Proceedings of the National Academy of Sciences of Belarus, Medical series</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-6023</issn><issn pub-type="epub">2524-2350</issn><publisher><publisher-name>The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29235/1814-6023-2018-15-3-286-292</article-id><article-id custom-type="elpub" pub-id-type="custom">vestim-439</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL AND EXPERIMENTAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>ВАРИАБЕЛЬНОСТЬ СЕРДЕЧНОГО РИТМА У ПАЦИЕНТОВ С СИНДРОМОМ ОБСТРУКТИВНОГО АПНОЭ СНА, ПЕРВИЧНЫМ ХРАПОМ И ИШЕМИЧЕСКОЙ БОЛЕЗНЬЮ СЕРДЦА</article-title><trans-title-group xml:lang="en"><trans-title>HEART RATE VARIABILITY IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME, PRIMARY SNORING AND ISCHEMIC HEART DISEASE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Булгак</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Bulgak</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Булгак Александр Григорьевич – д-р мед. наук, профессор, зам. директора</p><p>ул. Р. Люксембург, 110В, 220036, г. Минск</p></bio><bio xml:lang="en"><p>Alexandеr G. Bulgak – D. Sc. (Med.), Professor, Deputy Director</p><p>110В, R. Luxemburg Str., 220036, Minsk</p></bio><email xlink:type="simple">bulag@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тарасик</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarasik</surname><given-names>E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тарасик Екатерина Сергеевна – врач-кардиолог</p><p>ул. Р. Люксембург, 110В, 220036, г. Минск</p></bio><bio xml:lang="en"><p>Ekaterina S. Tarasik – cardiologist</p><p>110В, R. Luxemburg Str., 220036, Minsk</p></bio><email xlink:type="simple">katerinatarasik@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Республиканский научно-практический центр «Кардиология»</institution></aff><aff xml:lang="en"><institution>Republican Scientific and Practical Center “Cardiology”</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>16</day><month>09</month><year>2018</year></pub-date><volume>15</volume><issue>3</issue><fpage>286</fpage><lpage>292</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Булгак А.Г., Тарасик Е.С., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Булгак А.Г., Тарасик Е.С.</copyright-holder><copyright-holder xml:lang="en">Bulgak A., Tarasik E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestimed.belnauka.by/jour/article/view/439">https://vestimed.belnauka.by/jour/article/view/439</self-uri><abstract><p>Изучено влияние синдрома обструктивного апноэ сна (СОАС) и первичного храпа на нарушения сердечного ритма и показатели его вариабельности у 65 пациентов (возраст от 40 до 68 лет) с хронической ишемической болезнью сердца (ИБС).</p><p>Полученные данные указывают на нарушение симпато-вагусного обеспечения сердечного ритма, а также на склонность к нарушениям ритма сердца у пациентов с ИБС и СОАС. Наличие СОАС приводит к повышению как симпатических, так и парасимпатических влияний вегетативной нервной системы на синусовый узел.</p></abstract><trans-abstract xml:lang="en"><p>The purpose of our study is to assess the impact of cardiac arrhythmias, heart rhythm variability in patients with ischemic heart disease, obstructive sleep apnea and primary snoring. 65 patients at an age of 40–68 years with ischemic heart disease, obstructive sleep apnea and primary snoring were researched.</p><p>Obstructive sleep apnea and primary snoring lead to an increase in the sympathetic and parasympathetic activity of the autonomic nervous system on the sinus node in patients with ischemic heart disease, obstructive sleep apnea and primary snoring.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ишемическая болезнь сердца</kwd><kwd>синдром обструктивного апноэ сна</kwd><kwd>вариабельность ритма сердца</kwd><kwd>нарушения ритма сердца</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cardiac arrhythmias</kwd><kwd>heart rhythm variability</kwd><kwd>ischemic heart disease</kwd><kwd>obstructive sleep apnea</kwd><kwd>primary snoring</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">The International classification of sleep disorders: diagnostic and coding manual / Diagnostic Classification Steering Committee of the Amer. 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